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青少年理想的心血管健康状况和健康相关生活质量:LABMED 体力活动研究。

IDEAL CARDIOVASCULAR HEALTH STATUS AND HEALTH-RELATED QUALITY OF LIFE IN ADOLESCENTS: THE LABMED PHYSICAL ACTIVITY STUDY.

机构信息

Faculty of Health and Sciences, Klaipeda University, Klaipeda, Lithuania.

Universidade Estadual Paulista "Júlio de Mesquita Filho", Presidente Prudente, SP, Brazil.

出版信息

Rev Paul Pediatr. 2021;39:e2019343. doi: 10.1590/1984-0462/2021/39/2019343. Epub 2020 Aug 28.

Abstract

OBJECTIVE

Adolescent's ideal cardiovascular health index (ICVH) seems to be an important indicator of youth's lifestyles and cardiometabolic health with potential positive consequences for their Health-Related Quality of Life (HRQoL). The purpose of this study was to examine the associations between the ICVH index and HRQoL in adolescents.

METHODS

This was a cross-sectional study based on secondary analyses from the LabMed Physical Activity Study (n=407 adolescents, 53% girls). ICVH, as defined by the American Heart Association, was determined as meeting ideal behaviors (physical activity, body mass index, smoking status, and diet intake) and health factors (blood pressure, total glucose, and cholesterol). HRQoL was measured with the Kidscreen-10 self-report questionnaire.

RESULTS

Analysis of covariance (ANCOVA) showed a significant association between the accumulation of ideal cardiovascular health metrics and HRQoL (F(4,403)=4.160; p=0.003). In addition, the higher the number of ideal health behaviors accumulated, the higher the mean values of HRQoL (p-value for trend=0.001), after adjustments for age, sex, socioeconomic status and pubertal stage.

CONCLUSIONS

ICVH index was positively associated with HRQoL in adolescents. Ideal health behaviors metrics seem to have a stronger association with HRQoL than the ideal health factors metrics in adolescents.

摘要

目的

青少年理想心血管健康指数(ICVH)似乎是青少年生活方式和心脏代谢健康的重要指标,对其健康相关生活质量(HRQoL)可能有积极影响。本研究旨在探讨 ICVH 指数与青少年 HRQoL 之间的关系。

方法

这是一项基于 LabMed 体力活动研究(n=407 名青少年,53%为女性)的横断面研究。ICVH 由美国心脏协会定义,通过满足理想行为(体力活动、体重指数、吸烟状况和饮食摄入)和健康因素(血压、总葡萄糖和胆固醇)来确定。HRQoL 使用 Kidscreen-10 自我报告问卷进行测量。

结果

协方差分析(ANCOVA)显示,积累理想心血管健康指标与 HRQoL 之间存在显著关联(F(4,403)=4.160;p=0.003)。此外,在调整年龄、性别、社会经济地位和青春期阶段后,积累的理想健康行为越多,HRQoL 的平均值越高(趋势检验的 p 值=0.001)。

结论

ICVH 指数与青少年的 HRQoL 呈正相关。在青少年中,理想健康行为指标与 HRQoL 的关联似乎强于理想健康因素指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a05/7457468/e0777b2c002d/1984-0462-rpp-39-e2019343-gf1.jpg

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